DUNGAN, DAVID (MD)

Provider Demographics

• NPI: 1275519084
• Name: DUNGAN, DAVID (MD)
• Entity Type: Individual
• Prefix: DR
• First Name: DAVID
• Last Name: DUNGAN
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 10800 E GEDDES AVE STE 300
• Mailing Address - City: ENGLEWOOD
• Mailing Address - State: CO
• Mailing Address - Zip Code: 80112-3895
• Mailing Address - Country: US
• Mailing Address - Phone: 303-761-9190
• Mailing Address - Fax: 720-874-4462
• Practice Address - Street 1: 501 E HAMPDEN AVE
• Practice Address - City: ENGLEWOOD
• Practice Address - State: CO
• Practice Address - Zip Code: 80113-2702
• Practice Address - Country: US
• Practice Address - Phone: 303-761-9190
• Practice Address - Fax: 720-874-4462
• Is Sole Proprietor?: No
• Enumeration Date: 2005-12-22
• Last Update Date: 2022-12-09

Provider Licenses

State	License ID	Taxonomies
NE	25032	2085R0202X
KS	04-32248	2085R0202X
HI	MD17545	2085R0202X
TN	54201	2085R0202X
TX	K0726	2085R0202X
CO	38571	2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
HI	0000341487	Other	HMSA ALL PRODUCTS
AK	MD897CO	Medicaid
WA	0302214	Medicaid
CO	300113409	Other	RR MCRE RIA
NE	84-059792913	Medicaid
CO	98005847	Medicaid
CA	XPY201233	Medicaid
WY	117406100	Medicaid
AR	195573001	Medicaid
MT	1275519084	Medicaid
CO	300113407	Other	RR MCRE MIC
NV	1275519084	Medicaid
KS	200418370A	Medicaid
MI	104693056	Medicaid
UT	1275519084	Medicaid
OK	200057720A	Medicaid
IA	1275519084	Medicaid
MO	200114205	Medicaid
NE	10025709000	Medicaid
UT	1679513196	Medicaid
NM	45181055	Medicaid
AZ	920670	Medicaid
NE	P00720366	Other	RR MCR NE
NV	1275519084	Medicaid
UT	1275519084	Medicaid
CO	C211908	Medicare PIN
NM	45181055	Medicaid
MO	200114205	Medicaid
CO	C212768	Medicare PIN
HI	0000341487	Other	HMSA ALL PRODUCTS
UT	1679513196	Medicaid
OK	200057720A	Medicaid
MI	104693056	Medicaid
NE	NA2517063	Medicare PIN
NE	NA1215015	Medicare PIN
KS	KA3249053	Medicare PIN
HI	H105109	Medicare PIN